401k Plan data: OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN plan

OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN
Plan identification number	501

OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Temporary disability (accident and sickness)

401k Sponsoring company profile

OMEGA ENTERPRISES, INC. has sponsored the creation of one or more 401k plans.

Company Name: OMEGA ENTERPRISES, INC.

Employer identification number (EIN): 391285453

NAIC Classification: 238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2024-01-01 CRAIG LAMERS
501 2023-01-01
501 2023-01-01 PATRICIA VAN RYZIN
501 2022-01-01
501 2022-01-01 PATRICIA VAN RYZIN
501 2021-01-01
501 2021-01-01 PATRICIA VAN RYZIN
501 2020-01-01
501 2019-01-01
501 2018-01-01 PATRICIA VAN RYZIN PATRICIA VAN RYZIN 2019-07-12
501 2017-01-01 PATRICIA VAN RYZIN PATRICIA VAN RYZIN 2018-06-11
501 2016-01-01 PATRICIA VAN RYZIN PATRICIA VAN RYZIN 2017-07-14
501 2015-01-01 PATRICIA VAN RYZIN PATRICIA VAN RYZIN 2016-07-12
501 2014-01-01 PATRICIA VAN RYZIN PATRICIA VAN RYZIN 2015-07-27
501 2013-01-01 PATRICIA VAN RYZIN PATRICIA VAN RYZIN 2014-07-29
501 2012-01-01 PATRICIA VAN RYZIN PATRICIA VAN RYZIN 2013-07-29
501 2011-01-01 PATRICIA VAN RYZIN
501 2010-01-01 PATRICIA VAN RYZIN
501 2009-01-01 PATRICIA VAN RYZIN
501 2009-01-01 PATRICIA VAN RYZIN 2010-07-19

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2024-01-01	CRAIG LAMERS
501	2023-01-01
501	2023-01-01	PATRICIA VAN RYZIN
501	2022-01-01
501	2022-01-01	PATRICIA VAN RYZIN
501	2021-01-01
501	2021-01-01	PATRICIA VAN RYZIN
501	2020-01-01
501	2019-01-01
501	2018-01-01	PATRICIA VAN RYZIN	PATRICIA VAN RYZIN	2019-07-12
501	2017-01-01	PATRICIA VAN RYZIN	PATRICIA VAN RYZIN	2018-06-11
501	2016-01-01	PATRICIA VAN RYZIN	PATRICIA VAN RYZIN	2017-07-14
501	2015-01-01	PATRICIA VAN RYZIN	PATRICIA VAN RYZIN	2016-07-12
501	2014-01-01	PATRICIA VAN RYZIN	PATRICIA VAN RYZIN	2015-07-27
501	2013-01-01	PATRICIA VAN RYZIN	PATRICIA VAN RYZIN	2014-07-29
501	2012-01-01	PATRICIA VAN RYZIN	PATRICIA VAN RYZIN	2013-07-29
501	2011-01-01	PATRICIA VAN RYZIN
501	2010-01-01	PATRICIA VAN RYZIN
501	2009-01-01	PATRICIA VAN RYZIN
501	2009-01-01		PATRICIA VAN RYZIN	2010-07-19

Financial Data on OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN

Measure	Date	Value
2023 : OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN 2023 401k financial data
Total income from all sources	2023-12-31	$3,148,796
Expenses. Total of all expenses incurred	2023-12-31	$2,943,978
Benefits paid (including direct rollovers)	2023-12-31	$2,942,290
Total plan assets at end of year	2023-12-31	$497,635
Total plan assets at beginning of year	2023-12-31	$292,817
Value of fidelity bond covering the plan	2023-12-31	$250,000
Expenses. Other expenses not covered elsewhere	2023-12-31	$1,688
Other income received	2023-12-31	$23,156
Noncash contributions received	2023-12-31	$1,727
Net income (gross income less expenses)	2023-12-31	$204,818
Net plan assets at end of year (total assets less liabilities)	2023-12-31	$497,635
Net plan assets at beginning of year (total assets less liabilities)	2023-12-31	$292,817
Total contributions received or receivable from employer(s)	2023-12-31	$3,123,913
2022 : OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN 2022 401k financial data
Total income from all sources	2022-12-31	$2,303,466
Expenses. Total of all expenses incurred	2022-12-31	$2,666,415
Benefits paid (including direct rollovers)	2022-12-31	$2,663,933
Total plan assets at end of year	2022-12-31	$292,817
Total plan assets at beginning of year	2022-12-31	$655,766
Value of fidelity bond covering the plan	2022-12-31	$250,000
Expenses. Other expenses not covered elsewhere	2022-12-31	$2,482
Other income received	2022-12-31	$5,858
Noncash contributions received	2022-12-31	$883
Net income (gross income less expenses)	2022-12-31	$-362,949
Net plan assets at end of year (total assets less liabilities)	2022-12-31	$292,817
Net plan assets at beginning of year (total assets less liabilities)	2022-12-31	$655,766
Total contributions received or receivable from employer(s)	2022-12-31	$2,296,725
2021 : OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN 2021 401k financial data
Total income from all sources	2021-12-31	$1,698,583
Expenses. Total of all expenses incurred	2021-12-31	$1,837,518
Benefits paid (including direct rollovers)	2021-12-31	$1,834,209
Total plan assets at end of year	2021-12-31	$655,766
Total plan assets at beginning of year	2021-12-31	$794,701
Value of fidelity bond covering the plan	2021-12-31	$250,000
Expenses. Other expenses not covered elsewhere	2021-12-31	$3,309
Contributions received from other sources (not participants or employers)	2021-12-31	$124
Other income received	2021-12-31	$269
Noncash contributions received	2021-12-31	$1
Net income (gross income less expenses)	2021-12-31	$-138,935
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$655,766
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$794,701
Total contributions received or receivable from employer(s)	2021-12-31	$1,698,189
2020 : OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN 2020 401k financial data
Total income from all sources	2020-12-31	$2,068,356
Expenses. Total of all expenses incurred	2020-12-31	$1,444,087
Benefits paid (including direct rollovers)	2020-12-31	$1,442,167
Total plan assets at end of year	2020-12-31	$794,701
Total plan assets at beginning of year	2020-12-31	$170,432
Value of fidelity bond covering the plan	2020-12-31	$250,000
Expenses. Other expenses not covered elsewhere	2020-12-31	$1,920
Contributions received from other sources (not participants or employers)	2020-12-31	$496
Other income received	2020-12-31	$1,951
Noncash contributions received	2020-12-31	$-307
Net income (gross income less expenses)	2020-12-31	$624,269
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$794,701
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$170,432
Total contributions received or receivable from employer(s)	2020-12-31	$2,066,216
2019 : OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$1,922,698
Expenses. Total of all expenses incurred	2019-12-31	$2,154,561
Benefits paid (including direct rollovers)	2019-12-31	$2,153,180
Total plan assets at end of year	2019-12-31	$170,432
Total plan assets at beginning of year	2019-12-31	$402,295
Value of fidelity bond covering the plan	2019-12-31	$250,000
Expenses. Other expenses not covered elsewhere	2019-12-31	$1,381
Contributions received from other sources (not participants or employers)	2019-12-31	$-391
Other income received	2019-12-31	$6,140
Net income (gross income less expenses)	2019-12-31	$-231,863
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$170,432
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$402,295
Total contributions received or receivable from employer(s)	2019-12-31	$1,916,949
2018 : OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$1,919,897
Expenses. Total of all expenses incurred	2018-12-31	$2,068,267
Benefits paid (including direct rollovers)	2018-12-31	$2,066,656
Total plan assets at end of year	2018-12-31	$402,295
Total plan assets at beginning of year	2018-12-31	$550,665
Value of fidelity bond covering the plan	2018-12-31	$250,000
Expenses. Other expenses not covered elsewhere	2018-12-31	$1,611
Contributions received from other sources (not participants or employers)	2018-12-31	$240
Other income received	2018-12-31	$5,989
Net income (gross income less expenses)	2018-12-31	$-148,370
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$402,295
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$550,665
Total contributions received or receivable from employer(s)	2018-12-31	$1,913,668
2017 : OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$1,525,952
Expenses. Total of all expenses incurred	2017-12-31	$1,327,988
Benefits paid (including direct rollovers)	2017-12-31	$1,326,308
Total plan assets at end of year	2017-12-31	$550,665
Total plan assets at beginning of year	2017-12-31	$352,701
Value of fidelity bond covering the plan	2017-12-31	$250,000
Expenses. Other expenses not covered elsewhere	2017-12-31	$1,680
Contributions received from other sources (not participants or employers)	2017-12-31	$615
Other income received	2017-12-31	$3,563
Net income (gross income less expenses)	2017-12-31	$197,964
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$550,665
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$352,701
Total contributions received or receivable from employer(s)	2017-12-31	$1,521,774
2016 : OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$1,569,156
Expenses. Total of all expenses incurred	2016-12-31	$1,429,379
Benefits paid (including direct rollovers)	2016-12-31	$1,427,870
Total plan assets at end of year	2016-12-31	$352,701
Total plan assets at beginning of year	2016-12-31	$212,924
Value of fidelity bond covering the plan	2016-12-31	$250,000
Expenses. Other expenses not covered elsewhere	2016-12-31	$1,509
Contributions received from other sources (not participants or employers)	2016-12-31	$139,423
Other income received	2016-12-31	$1,177
Net income (gross income less expenses)	2016-12-31	$139,777
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$352,701
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$212,924
Total contributions received or receivable from employer(s)	2016-12-31	$1,428,556
2015 : OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$1,259,419
Expenses. Total of all expenses incurred	2015-12-31	$1,324,595
Benefits paid (including direct rollovers)	2015-12-31	$1,323,223
Total plan assets at end of year	2015-12-31	$212,924
Total plan assets at beginning of year	2015-12-31	$278,100
Value of fidelity bond covering the plan	2015-12-31	$250,000
Expenses. Other expenses not covered elsewhere	2015-12-31	$1,372
Contributions received from other sources (not participants or employers)	2015-12-31	$89
Other income received	2015-12-31	$243
Net income (gross income less expenses)	2015-12-31	$-65,176
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$212,924
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$278,100
Total contributions received or receivable from employer(s)	2015-12-31	$1,259,087
2014 : OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$1,278,172
Expenses. Total of all expenses incurred	2014-12-31	$1,000,887
Benefits paid (including direct rollovers)	2014-12-31	$1,000,404
Total plan assets at end of year	2014-12-31	$278,100
Total plan assets at beginning of year	2014-12-31	$815
Value of fidelity bond covering the plan	2014-12-31	$250,000
Expenses. Other expenses not covered elsewhere	2014-12-31	$483
Other income received	2014-12-31	$35
Net income (gross income less expenses)	2014-12-31	$277,285
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$278,100
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$815
Total contributions received or receivable from employer(s)	2014-12-31	$1,278,137
2013 : OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$1,016,093
Expenses. Total of all expenses incurred	2013-12-31	$1,061,558
Benefits paid (including direct rollovers)	2013-12-31	$1,061,094
Total plan assets at end of year	2013-12-31	$815
Total plan assets at beginning of year	2013-12-31	$46,280
Value of fidelity bond covering the plan	2013-12-31	$250,000
Expenses. Other expenses not covered elsewhere	2013-12-31	$464
Other income received	2013-12-31	$31
Net income (gross income less expenses)	2013-12-31	$-45,465
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$815
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$46,280
Total contributions received or receivable from employer(s)	2013-12-31	$1,016,062
2012 : OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$1,052,147
Expenses. Total of all expenses incurred	2012-12-31	$1,040,490
Benefits paid (including direct rollovers)	2012-12-31	$1,040,036
Total plan assets at end of year	2012-12-31	$46,280
Total plan assets at beginning of year	2012-12-31	$34,623
Value of fidelity bond covering the plan	2012-12-31	$250,000
Expenses. Other expenses not covered elsewhere	2012-12-31	$454
Other income received	2012-12-31	$56
Net income (gross income less expenses)	2012-12-31	$11,657
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$46,280
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$34,623
Total contributions received or receivable from employer(s)	2012-12-31	$1,052,091
2011 : OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$826,251
Expenses. Total of all expenses incurred	2011-12-31	$888,172
Benefits paid (including direct rollovers)	2011-12-31	$887,696
Total plan assets at end of year	2011-12-31	$34,623
Total plan assets at beginning of year	2011-12-31	$96,544
Value of fidelity bond covering the plan	2011-12-31	$250,000
Expenses. Other expenses not covered elsewhere	2011-12-31	$476
Other income received	2011-12-31	$83
Net income (gross income less expenses)	2011-12-31	$-61,921
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$34,623
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$96,544
Total contributions received or receivable from employer(s)	2011-12-31	$826,168
2010 : OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$632,967
Expenses. Total of all expenses incurred	2010-12-31	$825,079
Benefits paid (including direct rollovers)	2010-12-31	$824,256
Total plan assets at end of year	2010-12-31	$96,544
Total plan assets at beginning of year	2010-12-31	$288,656
Value of fidelity bond covering the plan	2010-12-31	$250,000
Expenses. Other expenses not covered elsewhere	2010-12-31	$823
Other income received	2010-12-31	$426
Net income (gross income less expenses)	2010-12-31	$-192,112
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$96,544
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$288,656
Total contributions received or receivable from employer(s)	2010-12-31	$632,541

Form 5500 Responses for OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN

2023: OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Submission has been amended	No
2023-01-01	This submission is the final filing	No
2023-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2023-01-01	Plan is a collectively bargained plan	No
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan funding arrangement – Trust	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement - Trust	Yes
2022: OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: OMEGA ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

417005411732

Policy instance

Insurance contract or identification number	417005411732
Number of Individuals Covered	120
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $1,782
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	TRANSPLANT
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $17,857
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

417004411732

Policy instance

Insurance contract or identification number	417004411732
Number of Individuals Covered	90
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $2,202
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $22,040
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

417005411732

Policy instance

Insurance contract or identification number	417005411732
Number of Individuals Covered	120
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $1,680
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	TRANSPLANT
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $16,751
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

417004411732

Policy instance

Insurance contract or identification number	417004411732
Number of Individuals Covered	78
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $2,422
Total amount of fees paid to insurance company	USD $1,369
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $23,469
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

903311

Policy instance

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

417005411732

Policy instance

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

0903311

Policy instance

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

417005411732

Policy instance

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

417005411732

Policy instance

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

417007411732

Policy instance

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

417005411732

Policy instance

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

417004411732

Policy instance

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

417004411732

Policy instance

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Company Name:	OMEGA ENTERPRISES, INC.
Employer identification number (EIN):	391285453
NAIC Classification:	238900